HomeMy WebLinkAbout2019-12-31 Form 460 - KellyRecipient Committee
Campaign Statement
Cover Page
Statement covers period I Date of election if applicable:
from ( M 19 (Month, Day, Year)
SEE INSTRUCTIONS ON REVERSE through , 31 awl I inad 1 O
I. Type of Recipient Committee: All Committees— Complete Parts 1, 2, 3, and 4. 2. Type of Statement:
(Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
folhoCwnpWePart5) 0 Sponsored
❑ General Purpose Committee (AlmCaorpl*Pad 6)
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (NsoCaMiAftParf 7)
3. Committee Information
ID.NUMBER
(3$
UUMMI I I LL NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
14 akb I em i4 e 11 � A;c�rr Pa ll m -DeSer+ C l }�
CovYlci l Wip
STREETADDRESS (NO P.O. BOX)
4�-100
STATE ZIP CODE AREA CODEJPHONE
OPTIONAL. FAX 1 E-MAIL ADDRESS
COVER PAGE
Date Stamp
REI
CITY CLERK SEOF •
PALM OESER.r 'Rage___ of
2020 BAN 27 AM S 2 R For Official Use
❑
Preelection Statement
N
Semi-annual Statement
❑
Termination Statement
(Also file a Form 410 Termination)
❑
Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Peer R i e+n h Se
MAILING ADDRESS
64 Gig
❑ Special Odd -Year Report
a7HIC LI-U Uc AKEA G IJUPHUNE
e5e,r1 lot' Springs Ca g2,�tAa (166) 4�
ASSISTANT TREASURER. IF AN?"
mourt.1 kle -) I�e11
MAILING ADDRESS
14 6 -
have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and In the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on J anu Awl �� ° u By
Dar Sgnalure or Tre u
By
Data Solatwe of Controllmg OfficaWder Canddale, State Measwe Proponent
Executed on By Date Sgnature of ConlroNing Of icariolder, Candidate, 51sla Measure Proponarg
FPPC Form 460 (Jan/2016)
FPPG Advice: advice@fppc.ca.gov (866/275-3772)
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Ro,*keen 1 e1lL3
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Poo m `Oe5er} CiKj Co,mci l
RESIDENTIALIBUSINESSADDRESS (NO.(AND STREET) CITY STATE ZIP
Pa-im'}eLLzn+ CA Raao
Related Committees Not Included in this Statement: List any committees
not Included In this statement that are controlled by you or are primarily formed to receive
contributions ormake expenditures on behalf of your candidacy.
NAME OF TREASURER
I.D. NUMBER
STREETADDRESS (NO P.O. BOX)
❑ YES ❑ NO
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COVER PAGE - PART Z
Page . k. of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO OR LETTER JURISDICTION
[:]SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, orstate measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholders) or candidates) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-37721
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period 0 .
Summary Page � , � �
from
SEE INSTRUCTIONS ON REVERSE
through i ?)I Page 'ol 4
NAME OF FIL R 1 D NUMBER
li�lnlem RO for PUM `De�ey+ Cl' Cc�vnei i aol{ 1376"N 5
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEOULESt TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions..................................................
schedule A. Line 3
2. Loans Received ........... .:.::........... ............................... ...
Schedule B, Line
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Ada Lines 1 + 2
4. Nonmonetary Contributions ............................................
schedule C. Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........... _------------ _----
.Add Lines 3+ 4
Expenditures Made
6. Payments Made ................................. ....... ......... ........... .... schedule E. Line 4
7 Loans Made ........................... ............ .......... ....... ..........._. Schedule H Line 3
8. SUBTOTAL CASH PAYMENTS ..::::.. ....... .......... ......::....... Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ______________„_,,,_._ ..._scheduleF Line 3
10. Nonmonetary Adjustment. .:...:..:..:...:..:...:..�_�..... ... schedule C, Lrne 3
11. TOTAL EXPENDITURES MADE, ... .......... Add Lines s + 9 + 10
Current Cash Statement
12. Beginning Cash Balance..... .............. ....... Previous summary Page. Line 16
13_ Cash Receipts....._....................................._.........__.... Column A. Line 3 above
14. Miscellaneous Increases to Cash ................................ schedule 1, Line 4
15. Cash Payments......................................................... column A. Line a above
16. ENDING CASH BALANCE .................Add Lines 12 + 13 + 14. then subtract Line 15
If this is a termination statement, Line 16 must be zero.
S
5
$
5
S
5
$ MOO S
S ti-00
$ �04•54
la• 00
5 59a.54
17. LOAN GUARANTEES RECEIVED ................................ schedule E. Part 2 S
Cash Equivalents and Outstanding Debts
18 Cash Equivalents ............................................... see Instructions on reverse $
19. Outstanding Debts ............................„ Add Line 2 + Line 9 in Column 8 above $
'14.00
S 14.0
To calculate Column B.
add amounts in Column
A to the corresponding
amounts from Column B
of your last report. Some
amounts to Column A may
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2. 7_ and 9 (if
any)
111 through WO 711 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(Of Subject to Voluntary EapenrHture Limit)
Date of Election
(mmlddtyy)
1 1$
Total to Date
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275.3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded SCHEDULE E
from
Statement covers period .
to whole dollars. ii • � �
Payments Made 7 I l t
SEE INSTRUCTIONS ON REVERSE through Page of 4
NAME OF FILER I D. NUMBER
�OAA.Ikew 1�ell� or Covnell l313WG_
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonelary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate riling/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidatelsponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (inlemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMRTEE, ALSO ENTER I.O. NUMBER)
CODE OR
` Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
DESCRIPTION OF PAYMENT
SUBTOTAL $
1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................... $
2. Unitemized payments made this period of under$100..................................... .01n�i...�ee.................................................. ....I--...,....
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e},)............................................................................. $ _Y
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ —
/TTG1TRWYLIl8.
sa-oo
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov